Provider Demographics
NPI:1134772395
Name:ROBOKOFF, NOEL MARIE
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:MARIE
Last Name:ROBOKOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NOEL
Other - Middle Name:
Other - Last Name:KOHLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:814 BARD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-3321
Mailing Address - Country:US
Mailing Address - Phone:845-558-9642
Mailing Address - Fax:
Practice Address - Street 1:814 BARD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3321
Practice Address - Country:US
Practice Address - Phone:845-558-9642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist